Deficiency Records for Countryside Nursing and Rehab Ctr

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Updated as of March 01, 2024

A list of the most recent deficiencies for Countryside Nursing and Rehab Ctr. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-18 2024-02-01 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-17 2024-01-22 N
Address subsistence needs for staff and patients. Fire Safety 2023-10-17 2023-10-30 N
Create arrangements with other facilities to receive patients. Fire Safety 2023-10-17 2023-10-30 N
Establish staff and initial training requirements. Fire Safety 2023-10-17 2023-10-30 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-10-17 2023-10-30 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-10-17 2023-10-30 N
Provide properly protected cooking facilities. Fire Safety 2023-10-17 2023-10-30 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-10-17 2023-10-30 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-10-17 2023-10-30 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2023-10-17 2023-10-30 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-10-06 2023-10-18 N
Provide and implement an infection prevention and control program. Health 2023-10-06 2023-10-18 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-08-28 2023-09-09 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-06-29 2023-07-17 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-05-11 2023-07-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-22 2023-03-17 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-10-18 2023-01-16 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-10-18 2023-01-01 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-11-17 2022-12-12 Y
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-18 2022-11-10 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2022-10-18 2022-11-07 N
Ensure proper storage of liquid oxygen. Fire Safety 2022-10-18 2022-11-07 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-10-18 2022-11-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-10-18 2022-11-04 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-10-18 2022-11-04 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2022-10-18 2022-11-04 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-10-18 2022-11-02 N
Provide properly protected cooking facilities. Fire Safety 2022-10-18 2022-11-02 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-10-18 2022-11-02 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-10-18 2022-11-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-18 2022-11-02 N
Have proper medical gas storage and administration areas. Fire Safety 2022-10-18 2022-11-02 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-10-18 2022-11-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-10-18 2022-11-01 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2022-10-07 2022-10-27 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-10-07 2022-10-27 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-10-07 2022-10-27 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2022-10-07 2022-10-27 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-10-07 2022-10-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-10-07 2022-10-27 N
Provide and implement an infection prevention and control program. Health 2022-10-07 2022-10-27 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2022-10-07 2022-10-27 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-09-10 2022-10-07 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-09-10 2022-10-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-10 2022-10-07 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-08-19 2022-10-07 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-08-19 2022-10-07 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-12-03 2021-12-25 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-03 2021-12-25 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2021-10-03 2021-10-18 Y
Address patient/client population and determine types of services needed. Fire Safety 2021-09-22 2021-10-15 N
Address subsistence needs for staff and patients. Fire Safety 2021-09-22 2021-10-15 N
Establish policies and procedures for sheltering. Fire Safety 2021-09-22 2021-10-15 N
Create arrangements with other facilities to receive patients. Fire Safety 2021-09-22 2021-10-15 N
Establish staff and initial training requirements. Fire Safety 2021-09-22 2021-10-15 N
Conduct testing and exercise requirements. Fire Safety 2021-09-22 2021-10-15 N
Implement emergency and standby power systems. Fire Safety 2021-09-22 2021-10-15 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2021-09-22 2021-10-15 N
Provide properly protected cooking facilities. Fire Safety 2021-09-22 2021-10-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-09-22 2021-10-15 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-09-22 2021-10-15 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-09-22 2021-10-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-09-22 2021-10-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-09-22 2021-10-15 N
Have proper medical gas storage and administration areas. Fire Safety 2021-09-22 2021-10-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-09-10 2021-10-01 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-09-10 2021-10-01 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2021-09-10 2021-10-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-09-10 2021-10-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-09-10 2021-10-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-09-10 2021-10-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-09-10 2021-10-01 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2021-09-10 2021-10-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-09-10 2021-10-01 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2021-09-10 2021-10-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-09-10 2021-10-01 N
Provide and implement an infection prevention and control program. Health 2021-09-10 2021-10-01 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-08-01 2021-08-06 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-15 2021-08-02 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-05-11 2021-05-25 Y